WESTERN DENTAL SERVICES, INC. - NPI 1417009598

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Western Dental Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN DENTAL SERVICES, INC. (NPI 1417009598) is a healthcare organization registered as a general practice in Santa Rosa, California and active in the NPI registry since January 2007. The organization lists Marina King, Ppo Coordinator, as its authorized official.

NPPES Registry Identity

NPI1417009598

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWESTERN DENTAL SERVICES, INC.

Location Address1240 FARMERS LNSanta Rosa, CA 95405-6707

Mailing Address530 S Main StOrange, CA 92868-4525 · (714) 480-3000 · Fax (714) 571-3560

Phone(707) 542-5200

Fax(707) 579-3207

Organization SubpartNo

Authorized OfficialMarina KingPpo Coordinator · (714) 480-3000

Enumeration DateJanuary 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417009598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1240 FARMERS LN, Santa Rosa, CA 95405

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Other Identifiers 1

MedicaidG90179-54CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP